Patient Centered Medical Home
We are excited about transitioning to this new and better model of primary care. We are establishing two interdisciplinary clinical teams with our residents, attendings, nurses, nurse practitioner, family therapist and patient educator. We will be implementing an ambulatory case management process so we can improve our care of chronic conditions. We are starting group visits for high risk patients recently discharged from the hospital. We are using our EHR patient portal for faster communication with our patients. We also have patient registries, quality metrics and best practice reminders embedded in our EHR to help us in our care of patients.
Health Promotion and Disease Prevention
Our program emphasizes these components of primary care. We have a unique 4-week Health Promotion block rotation for our second year residents. We cover all areas of health promotion, including lifestyle behavior change, evidence-based screening, and motivational interviewing. We also introduce these components to the interns during their Essentials of Family Medicine rotation in September of the intern year.
Our program promotes evidence-based medicine and provides training in the area of medical informatics. We also encourage scholarly inquiry and provide research support for interested residents. Our program has an experienced fellowship trained research director, Carl C. Tyler, MD, who leads a monthly evidence-based practice seminar.
In the course of this seminar, the residents design, conduct, and report a short-cycle quality improvement research project involving the residency practice. Examples of past topics are: adolescent pregnancy, osteoporosis, acupuncture, asthma, pain management, Raynaud's phenomenon, tension headaches and strep testing. Residents considering an academic career are encouraged to engage in additional scholarly work, including academic presentations, publications of case report, or research projects. Faculty mentoring is provided by the Research Coordinator and other faculty, as dictated by clinical topic. Two of the faculty, Robert Kelly, MD and Carl Tyler, MD have completed academic fellowships involving graduate level training and experience in conducting and publishing research.
Modest funds are available to residents to foster resident research and scholarly activity without additional burden and time required to obtain external funding. Residents may choose research electives, with clearly defined academic products as rotation goals.
Transforming the High Functioning Care Team into an Inter-professional Education Team
Ohio University Heritage College of Osteopathic Medicine, in partnership with the Cleveland Clinic, has developed an accelerated family medicine curriculum, to begin in 2018, which will allow learners to complete undergraduate and graduate medical education in six years. During undergraduate education, the family medicine learners will be embedded in an inter-professional practice team at one clinic.
Each year, 4 students will begin their 3-year medical school phase of this program, spending one day each week with us in the Center for Family Medicine. By 2020, this will mean that we will have 12 students working with us (4 in each of the 3 medical school years) to learn what they need to transition into the residency phase of the program.
In preparation for the new curriculum, this grant will enable inter-professional faculty to be trained in better teaching practices, including better assessment and feedback. In addition, the College will develop faculty to work with students to enable them to do population-based quality improvement work. These Master Educators will train others and foster the sustainability and spread of the accelerated curriculum within the Ohio University-Cleveland Clinic sites.
Integrative Medicine in Residency Track
Our IMR Track is an implementation of the highly regarded Integrative Medicine in Residency curriculum through the University of Arizona Center for Integrative Medicine in Tucson, led by Dr. Andrew Weil and Dr. Victoria Maizes. We were the very first residency program in Ohio to offer this experience, beginning in 2013. Residents can begin the IMR Track in their second or third year. More than half of our residents have chosen to do the Track, and we currently have 10 or 12 residents enrolled from the classes of 2019 and 2020.
The Track consists of an online 200-hour curriculum, augmented by local experiences. These include pairing up with Dr. Kelly to do an Integrative Medicine Consultation for a patient, monthly IMR “Pearls” conferences on Wednesday mornings, and using elective block time to work with physicians and other providers in the Cleveland Clinic's Center for Integrative Medicine and/or Center for Functional Medicine. Dr. Kelly is a graduate of the two-year Faculty Fellowship through the Arizona Center and serves as the residency’s Director of Integrative Medicine.
Participants are required to devote at least one elective block to this experience, as well as some of their own discretionary time throughout the year. The IMR Track is a great compliment to our education in motivational interviewing, therapeutic communication, and osteopathic principles and treatment.
Our residency program has received osteopathic recognition that was granted by the ACGME in 2015. We have an osteopathic focused learning environment that spans the length of our educational program.
Our educational experience is for both osteopathic and allopathic residents. We teach the osteopathic principles of practice through focused and longitudinal educational experience.
The program generally has 9 osteopathic and 9 allopathic residents in the program. This may vary from year to year based upon the match results.
The program uses a resident tracking system called MedHub. MedHub is utilized system-wide by Cleveland Clinic. Once a faculty/supervisor completes an evaluation, the resident has immediate access to the feedback. Residents can also submit evaluations on their rotations. The system is also used to have residents complete anonymous evaluations on faculty, nurses, etc. MedHub also keeps track of resident duty hours, milestones, conference attendance and procedures.